MR. JOSE Y GARCIA JR. (NPI# 1285645630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285645630 |
| Entity Type | Individual |
| Full Name | MR. JOSE Y GARCIA JR. |
| Credential | MD |
| Practice Address |
1119 Highland Ave Suite 5 Clarkston WA 99403-2836 |
| Mailing Address |
1221 Highland Ave Clarkston WA 99403-2829 |
| Practice Telephone | 5097510312 |
| Practice Fax Number | 5097510314 |
| Mailing Telephone | 5097585511 |
| Mailing Fax Number | 5097579406 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2008-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD00039189 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8323073 | 05 | |
| REGENCE BLUE SHIELD OF IDAHO | 000010142734 | 01 | |
| ID | 806593400 | 05 | |
| BLUE CROSS OF IDAHO | B1824 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528523107 | Jose Guadalupe Garcia | Chore Provider | 2432 Melba Ave, Mcallen, TX 78503-8907 | 2019-02-07 |
| 1629555834 | Jose R Garcia | Nurse Practitioner | 9310 Old Kings Rd S Ste 1303, Jacksonville, FL 32257-8100 | 2018-07-20 |
| 1659809051 | Jose Ricardo Garcia Jr. | Physical Therapist | 2302 S 77 Sunshinestrip Ste 200, Harlingen, TX 78550-8370 | 2017-05-30 |
| 1629511308 | Jose Daniel Garcia | Licensed Vocational Nurse | 12755 Ca-88, Lodi, CA 95240 | 2016-11-29 |
| 1497204028 | Jose Carlos Garcia | Dental Assistant | 2636 E Dominguez St, Long Beach, CA 90810 | 2016-09-23 |
| 1932590007 | Jose Garcia | Driver | Sector Pitillo, Miradero 465, Mayaguez, PUERTO RICO 00680 | 2015-02-11 |
| 1316358732 | Jose Garcia | Social Worker | 160 Ward St, Paterson, NJ 07505-1948 | 2014-05-20 |
| 1154754851 | Jose Armando Garcia | Social Worker | 3115 Hernando Street, Coral Gables, FL 33134 | 2013-08-16 |
| 1316297138 | Jose Manuel Garcia | Technician, Other | 277 E Sanilac Rd, Sandusky, MI 48471-1160 | 2012-09-19 |
| 1568752384 | Jose L. Garcia | Dentist | 40285 Winchester Rd Ste 101, Temecula, CA 92591 | 2011-04-13 |
| Street Address |
1119 HIGHLAND AVE SUITE 5 |
| City | CLARKSTON |
| State | WA |
| Zip Code | 99403-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851369227 | Yellow Rock Clinic Pllc | Family Medicine | 1119 Highland Ave, Suite 3, Clarkston, WA 99403-2836 | 2006-03-10 |
| 1447782933 | Nolan Derr | Internal Medicine | 1119 Highland Ave, Clarkston, WA 99403-2836 | 2017-04-03 |
| 1861740300 | Carson Douglas Seeber | Family Medicine | 1119 Highland Ave, Suite A, Clarkston, WA 99403-2836 | 2012-08-15 |
| 1376866590 | Donald Anthony Norman | Obstetrics & Gynecology | 1119 Highland Ave, Suite 6, Clarkston, WA 99403-2836 | 2010-03-02 |
| 1588992721 | Lewis Clark Oral Surgery | Clinic/Center | 1119 Highland Ave, Number 6, Clarkston, WA 99403-2836 | 2009-11-30 |
| 1740479914 | Lewiston-clarkston Oral & Max. Surg. PC | Dentist | 1119 Highland Ave, Suite 6, Clarkston, WA 99403-2836 | 2007-10-23 |
| 1073697512 | Tri-state S.p.o.r.t. Physical Therapy Clinic | Clinic/Center | 1119 Highland Ave, Ste 2, Clarkston, WA 99403-2836 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
| 1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
| 1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
| Find all providers in zip 99403 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700020641 | Meghana Shashikant Awad | Internal Medicine | 1119 Highland Ave Ste 5, Clarkston, WA 99403-2836 | 2009-04-22 |
| 1265849152 | Claudia-denise Haivas | Internal Medicine | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2014-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790326502 | Blazing Grace Medical, LLC | Internal Medicine | 953 Stevens Dr Ste C, Richland, WA 99352-3533 | 2019-10-02 |
| 1619460268 | Pacific Kidney & Hypertension, LLC | Internal Medicine | 2707 Colby Ave, Everett, WA 98201-3528 | 2018-06-08 |
| 1992258289 | Roderick Marshall Macdonald | Internal Medicine | University of Washington Mc 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2016-08-03 |
| 1124458310 | Cascade Kidney Specialists | Internal Medicine | Cascade Kidney Specialists, 1370 116th Ave Ne Suite 209, Bellevue, WA 98004-3825 | 2013-11-25 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| 1164775508 | Hoang H Dang, Md, Ps | Internal Medicine | 9804 Ne 15th St, Bellevue, WA 98004-3431 | 2012-10-23 |
| 1942561824 | Tsering Dhondup | Internal Medicine | 3525 Ensign Rd Ne Ste K, Olympia, WA 98506-5065 | 2012-06-06 |
| 1518248921 | William Griffith Couser | Internal Medicine | 16050 169th Ave Ne, Woodinville, WA 98072-8949 | 2011-08-30 |
| 1346535556 | David Alan Goodkin | Internal Medicine | 3807 134th Ave Ne, Bellevue, WA 98005-1437 | 2011-06-15 |
| 1174838676 | Shanza Mujeeb | Internal Medicine | 1708 Yakima Ave Ste 107, Tacoma, WA 98405-5300 | 2010-08-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.